DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B10M000823›TOMAS OKAFOR

TOMAS OKAFOR

Subscriber on policy B10M000823

Claims
1
Attributed to this person
Charged
153.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
0.00
Reported on the 835

Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.

Who this is

FieldValue
NameTOMAS OKAFOR
Role on the policySubscriber
PolicyB10M000823
Date of birth19 Oct 1961
PlanBRONZE EPO
Covered from7 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000347910 Jan 2026153.00MERIDIAN HEALTH PLANNot denied—